| NPI | 1235193863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD044737E) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD044737E) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-02-25 |